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OA)UN, 24. 2009 5:41PM MOVIRONMENTAL <br /> FAX CTR X7522 N0, 7622 liP. 2/2NUMa, <br /> OA ri jOAQUIN COUNTY <br /> 1IIL)) HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 �� <br /> I AI n Z0n9 Telephone: (209) 468-3420 Fax: (209)464.0138 Web: www.sjgov.or <br /> FgP�,)(jr;py P:A'I_AF' If <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> °C:'• iwp' ' r4y'; `lark W. Poe <br /> BUSINC$SIAGENCY; Morrison & FOerster LLP <br /> ADDRESS: _ 425 Ma.II7ket Stregt, 32ndFloor Citytstatetzip San FrancisQ0 CA 94105-2482 <br /> PHONE(1): 415.268.7000 PHONE(2): FACSIMILE: 415 . 268. 7522 <br /> TENTATIVE'APPOINTMENT DATE: 07/09/09 Time: 10.00 a.m. <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST.$105 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE G��y/G 9 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# _ Street Name city - - —' - <br /> 1. 800 west Church Street Stockton p unit' <br /> — <br /> 2. IAJO <br /> ❑ unit z <br /> - nn <br /> G <br /> 3. <br /> 4. <br /> tZerm <br /> Z <br /> Urtit4 <br /> 8 Unit5.__—.. _—__ —. ___. ❑ <br /> 10. ❑ Units <br /> Specific Date Range Of Information Requested; From to 1 1 9 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING AaATEMENT <br /> C3 SOLID WASTE FACILITYNEHICLE <br /> WOTHER CLEANUP SITE(NON-LOP) ❑ FOOo FACILITY 13 WASTE TIRE IM,t <br /> UNDERGROUND TANK(MONITORING/REMOVAL)K ❑DOG KENNEL ❑DAIRY <br /> HAZARDOUS WASTE GENERATOFOC ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> d TIERED PERMITTED FACILITY ❑ MOTEUHOTEL ❑PUMPER TRUCK/YARD/CHEM TOILETS <br /> TATTOO/B00Y PIERCING ❑POOL/SPA 0 LAND USE APPLICATION SITES <br /> 173 MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 8:00 AM-5:00Pm - EXCLUDING HOLIDAYS. <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to 209 4 4.0138 or mail to the ddress in di ated above. Address <br /> ranges will not be accepted—for additional assistance with file addresses, contact the EHD. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt Of application. The files will be held for a maximum of Five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new application may be <br /> submitted when the file Is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a 5105 deposit prior to review. <br /> EHD USE ONLY <br /> D-0R'. 017 tes Con n <br /> f of Hj k-4 hourp. i F— <br /> . <br /> EHD 40.06 8104108 PUBLIC RECORDS RELEASE.APP FORM <br />